Individual provider · Type 1 NPI
Mack Porter Jr., RN
Adult Psychiatric/Mental Health Registered Nurse · Cerritos, CA
NPI number
1912568841
Active
Practice location
10802 College Pl
Cerritos, CA 90703-1579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 437831 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1912568841
Mack Porter Jr., RN's National Provider Identifier is 1912568841, issued on Jun 21, 2019. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Cerritos, CA. The record was last updated on Jun 21, 2019.